AUTHORIZATION

By submitting this form, I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet(s). I assume responsibility to all charges incurred in the care of this animal. I also understand that these charges will be paid in full at the time of release and that a deposit may be required for hospitalization. We accept cash, check, Visa, Mastercard, Discover, American Express, and Care Credit. A driver's license number is required if writing a check.